Provider Demographics
NPI:1962413948
Name:ROBIN, NOEL I (MD)
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:I
Last Name:ROBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 SHELBURNE RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3628
Mailing Address - Country:US
Mailing Address - Phone:203-276-7485
Mailing Address - Fax:203-276-7368
Practice Address - Street 1:30 SHELBURNE RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3628
Practice Address - Country:US
Practice Address - Phone:203-276-7485
Practice Address - Fax:203-276-7368
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT061279207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
D02484Medicare UPIN
CT0041587OtherAETNA
CTZP734OtherOXFORD HEALTH PLAN
D02484Medicare UPIN
CTTINOtherFIRST HEALTH
CTTINOtherMULTI PLAN
CTTINOtherCIGNA
CT016279OtherCONNECTICARE
CTTINOtherNORTHEAST HEALTH DIRECT
CTTINOtherFOCUS-CONCENTRA
110000692Medicare PIN
CT63061OtherEMPIRE BC/BS
CTTINOtherCCN
CTTINOtherCONSUMER HEALTH NETWOK
CTTINOtherPRIVATE HEALTHCARE SYSTEM
CTTINOtherPOMCO
CT022254OtherHEALTH NET
CT010016279CT01OtherANTHEM BC/BS
NYTINOtherPIONEER
CTTINOtherNEHCA